KELSEY MARIE THACKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

KELSEY

Middle

MARIE

Last Name

THACKER

Prefix

Business Name

KELSEY MARIE THACKER

Original Issue Date

05/01/2017

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

MT ZION

State

Zip

62549

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026